JEFFERSON C BROCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012889

License Status

NOT RENEWED

Business

First Name

JEFFERSON C

Last Name

BROCK

Suffix

DDS

Business Name

JEFFERSON C BROCK DDS

Original Issue Date

07/29/1966

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025